GRADUATION APPLICATION for DEGREE or CERTIFICATE or HIGH SCHOOL DIPLOMA Bring form to scheduled meeting with advisorStudent Success Services * 18345 Campus Way NE * Bothell, WA 98011 * (425) 352-8860

PRINT NAME LEGIBLY AS YOU WANT IT TO APPEAR ON YOUR DIPLOMA

*** NOTE*** Your Diploma or Certificate will be mailed to the address on this Application

NAME SID #

ADDRESS

CITY STATE ZIP CODE

PHONE BIRTHDATE

EMAIL

CHECK QUARTER and YEAR for EXPECTED COMPLETION: SUMMER FALL WINTER SPRING

List: Courses for your Last Quarter

COURSE NAME Advisor Notes

Are you planning to join us for the Graduation Commencement Ceremony in June? YES

If you are 21 years or older or in Running Start and do not have a high school diploma, please check here to receive aHigh School Diploma after completing all requirements for an Associate Degree.

Cascadia College is an equal opportunity institution and does not discriminate on the basis of race, color, religion, gender and/or sex, disability, national origin, citizenship status, age, sexual orientation, veteran’s status, or genetic information. All Cascadia materials are available in alternative formats and can be requested by contacting the Human Resources office.

PROGRAM CODE CATALOG YEAR

QUARTER

NO

Academic Advisor completes the following:

YEAR: 20_____

EVAL COMPLETED BY DATE

X Academic Advisor Signature

INTERNATIONAL PROGRAM ADVISOR

DATE

Date X

Student Signature Date

Catalog Year

OFFICE USE ONLYPRINT NAME LEGIBLY AS YOU WANT IT TO APPEAR ON YOUR DIPLOMA

*** NOTE*** Your Diploma or Certificate will be mailed to the address on this Application

SM5018 or SM6015

GRAD APP REVIEW (Check Box or Write N/A)

Verify Program College Level GPA ≥ 2.0Continuous Enrollment

Degree Worksheet

Distribution Credits Met ILR met for AISTotal Credits Met (90+)

TransferredCredits

2 Disciplines In Each Distribution Area Performance- Only 1 in HumDist1 100 Level Language only

in Hum Dist

NS 1 Math is OK Restric Electives Max Not ExceededNS One Lab

Up To 65 Credits College Level GPA Must Be ≥ 2.0Only 1 "D" (1.0-1.1), No Limit on "D+" (1.2-1.4)

CKR cr Applied into Distribution Review Unused cr 2 Add'l COLL 101 crDegree Audit

ADMIN REVIEW

Review Notes in SM5003 (holds non-payment); Add GT; initials; Quarter of graduation. (If student already completed requirements enter quarter applying for graduation.

Review Notes in SM4015 for any waivers/substitutions. Add Grad App submitted, degree, catalog year, quarter graduation, initial.

Repeat Class Request Form Program Update Form (if needed)*Submit to Enrollment Services

ADDITIONAL CERTIFICATES

Application Infrastructure Engineer Certificate

Server Administrator Certificate

Repeat User Interface Developer Certificate Request Form

Mobile Apps Certificate

Virtualization Engineer Certificate

Database Development Certificate Web Applications Certificate

Web Foundations Certificate

Computer Programming Foundations Certificate

JavaScript Programming Certificate

Community Energy Systems Specialist Certificate

Transfer Evaluation Form (if needed)*Submit to Credential Evaluator

Min. 14.5 cr each in Humanities, NS, & SS Distribution Areas

If combo of English 101 & 102 transfer in < 9.5, Student must supplement with English or CMST { ENGL &111, 221, &235, &244, &245, &254, 271, 274, 277, 279, CMST &101, 150, &220, &230 }